1978, 09-07 Permit App: N0404 Residence•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTSPERMIT FEE 8�o'-Og(
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any
kind or alter any building or structure already erected, or to change a land use. Construction must conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. Water supply must be approved by the County and State Health Departments. Where work on water connections disturbs
the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
SET -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the front property line, .of at
least 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
and egress.
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must be
Performed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
MOVING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State
Highway, clearance must be obtained from the County Engineer and/or State Highway Department.
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE .SPOK.ANG' 9ZQ6
Name of Owner PI --12.. CS C.0145'TILUCT/nN Address E.-.99OS NORPt phgne 921- 8107
Architect Address Phone
Engineer Address Phone
Contractor DfEIZJCS CDNCTIR(1c-110N Address FL. 9905' Nom 992bc, Phone 9Z11-Fic37
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number FTN OF / 15 1;7 - 0zZ3
1- tri Ir Ri-o GK // ME.ON . IST 4DI)ITIon,/ TD 6RFE1.lAc RES
ROADWAY R/W WIDTH S0'
DESCRIPTION OF WORK: New Addition
Size of Lot r'C ( ? ' X t 314,41 j
/ I I
Stories Sit Dimensions ,26 X 'I eQ 4- 23 X29 t -Jiro
Rooms _%_ Baths Z Basement PALL- Foundation Const L o !2C R. ETir Chimney i MC7 jfireplace S ND
(Full, part, none (Kind) (Number M,CTAL
Heat. System EALGL/T FIN Type of Roofing raIWO&-TinN Ext Finish r 4-A1) L(k1/480 Int Wall Finish DRywA'LL
Use of Bldg. — DEC/c P-rTAGFHEp---!2ARAGE�. /AAIPR-No of Units _Bedrooms 3
Remodel
Moving Bldg. Zone / Fire Zone R
Sewage System .SEPTic Const. FRAN4
Fr., Conc., Br., etc.) po
Total Sq Ft 18.32 Valuation 3/00D-%,
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines acd streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
1311.994/L
a6.69'PI L
MOEN STREET
. PROPOSED
S.ESI> E...
/
781 APP
4
134... int TV._
I hereby ce ify informati
as shown
/01
Owner or Ag€Lt
SOUTH
submitte
is correct and
State License No.
n/C ON F] LE
Ind. Ins. Acct. No.
COMMERCIAL
REQUIRED
Plumbing Permit
w Heating Permit
NSewage Permit
-4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
there are no other structures located on this property except
SEPT. 7, 1978
Date
A LAND USE O'R STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT.
0 N MM° 7/7P
DO NOT WRITE BELOW THIS LINE f
Your street address will be S. :;2...06:,MBEN S-1 ..P_F_T 'A J The zone is S/NGLE, F M1LN RES
Sewage Permit Number Issued Building Permit /l 0 Receipt 578z Issued
Remarks /N1
Form 523 Bldg. Code